Individual
MS. NATALIE ZERVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
593 EDDY ST, POTTER BASEMENT, PROVIDENCE, RI 02903-4923
(401) 444-8638
(401) 444-2085
Mailing address
593 EDDY ST, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-6573
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01336
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01336
PROFESSIONAL LICENSE
RI
Enumeration date
07/01/2010
Last updated
10/15/2012
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